Exploring Reverse Sural Flap Necrosis in Lupus-like Syndrome: Challenges and Strategies in Lower Limb...

Area of Science:

• Plastic Surgery
• Vascular Surgery
• Autoimmune Diseases

Background:

• Soft tissue reconstruction of the distal lower limb is challenging.
• The reverse sural flap is a viable option when microsurgery is not feasible.
• Patient comorbidities and age increase the risk of flap necrosis.

Observation:

• This report details a case of reverse sural flap necrosis in a patient with lupus-like syndrome.
• The case highlights technical challenges and systemic implications.
• Systemic autoimmune disorders may impact flap viability.

Findings:

• Flap necrosis risk is elevated in patients with venous insufficiency, cardiovascular disease, diabetes, and in the elderly.
• Lupus-like syndrome presents a complex scenario for reverse sural flap procedures.
• Literature review explores vascularization, autoimmune profiles, and flap success.

Implications:

• Meticulous preoperative assessment and planning are essential.
• Surgeons must consider both local and systemic factors for reconstructive success.
• A holistic approach is critical for evaluating patients undergoing reverse sural flap procedures.